ID

26120

Beschreibung

Study ID: 111029 Clinical Study ID: 111029 Study Title: Double-blind, randomized study to evaluate the immunogenicity and reactogenicity of three different lots of GlaxoSmithKline Biologicals' inactivated hepatitis A vaccine containing 1440 EL.U of antigen per mL and injected according to a 0, 6 month schedule in healthy adult subjects Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00289757 https://clinicaltrials.gov/ct2/show/NCT00289757 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: phase 4 Study Recruitment Status: Completed Generic Name: Hepatitis A Vaccine, Inactivated Trade Name: Havrix Study Indication: Hepatitis A Documentation part: Visit 22, Long term Follow-Up, Year 17, Month 204 +/- 2 Months

Link

https://clinicaltrials.gov/ct2/show/NCT00289757

Stichworte

Versionen (1)
  1. 09.10.17 09.10.17 -
Rechteinhaber

GlaxoSmithKline

Hochgeladen am

9. Oktober 2017

DOI

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Lizenz

Creative Commons BY-NC 3.0
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Immunogenicity and reactogenicity of GlaxoSmithKline Biologicals' inactivated hepatitis A vaccine Visit 22 111029

Englisch

Visit 22 Immunogenicity and reactogenicity of GlaxoSmithKline Biologicals' inactivated hepatitis A vaccine 111029

1 Formulare  
Informed Consent
Beschreibung

Informed Consent

Alias
UMLS CUI-1
C0021430
UMLS CUI-2
C0170300
Subject Number
Beschreibung

Subject Number

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Center number
Beschreibung

Center number

Datentyp

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Date of Visit
Beschreibung

Date of Visit

Datentyp

date

Alias
UMLS CUI [1]
C1320303
Informed Consent Date
Beschreibung

I certify that Informed Consent has been obtained prior to any study procedure.

Datentyp

time

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0011008
Demographics
Beschreibung

Demographics

Alias
UMLS CUI-1
C0011298
UMLS CUI-2
C0170300
Date of birth
Beschreibung

Date of birth

Datentyp

date

Alias
UMLS CUI [1]
C0421451
Gender
Beschreibung

Gender

Datentyp

text

Alias
UMLS CUI [1]
C0079399
Race
Beschreibung

Race

Datentyp

text

Alias
UMLS CUI [1]
C0034510
Race, if other please specify
Beschreibung

Race

Datentyp

text

Alias
UMLS CUI [1]
C0034510
Laboratory Tests
Beschreibung

Laboratory Tests

Alias
UMLS CUI-1
C0022885
UMLS CUI-2
C0005834
UMLS CUI-3
C0170300
Has a blood sample been taken?
Beschreibung

blood sample

Datentyp

boolean

Alias
UMLS CUI [1]
C0005834
Has the subject received a dose of Hepatitis A immunoglobulins within 6 months prior to bleeding ?
Beschreibung

Hepatitis A immunoglobulins

Datentyp

boolean

Alias
UMLS CUI [1,1]
C3652495
UMLS CUI [1,2]
C0019080
Has the subject received a dose of monovalent or combined Hepatitis A vaccine outside the study ?
Beschreibung

Hepatitis A vaccine

Datentyp

boolean

Alias
UMLS CUI [1]
C0170300
Has the subject received a dose of monovalent or combined Hepatitis A vaccine outside the study ? If Yes, please specify
Beschreibung

Hepatitis vaccine

Datentyp

integer

Alias
UMLS CUI [1,1]
C0170300
UMLS CUI [1,2]
C3543421
Did the subject suffer from Hepatitis A since last visit?
Beschreibung

Hepatitis A

Datentyp

boolean

Alias
UMLS CUI [1]
C0019159
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Ähnliche Modelle

Visit 22 Immunogenicity and reactogenicity of GlaxoSmithKline Biologicals' inactivated hepatitis A vaccine 111029

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Informed Consent
C0021430 (UMLS CUI-1)
C0170300 (UMLS CUI-2)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Center number
Item
Center number
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Date of Visit
Item
Date of Visit
date
C1320303 (UMLS CUI [1])
Informed Consent Date
Item
Informed Consent Date
time
C0021430 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
Demographics
C0011298 (UMLS CUI-1)
C0170300 (UMLS CUI-2)
Date of birth
Item
Date of birth
date
C0421451 (UMLS CUI [1])
Item
Gender
text
C0079399 (UMLS CUI [1])
Gender
Code List
Gender
CL Item
Male (M)
CL Item
Female (F)
Item
Race
text
C0034510 (UMLS CUI [1])
Race
Code List
Race
CL Item
White (WH)
CL Item
Black (BL)
CL Item
Oriental (OR)
CL Item
Other (OT)
Race
Item
Race, if other please specify
text
C0034510 (UMLS CUI [1])
Item Group
Laboratory Tests
C0022885 (UMLS CUI-1)
C0005834 (UMLS CUI-2)
C0170300 (UMLS CUI-3)
blood sample
Item
Has a blood sample been taken?
boolean
C0005834 (UMLS CUI [1])
Hepatitis A immunoglobulins
Item
Has the subject received a dose of Hepatitis A immunoglobulins within 6 months prior to bleeding ?
boolean
C3652495 (UMLS CUI [1,1])
C0019080 (UMLS CUI [1,2])
Hepatitis A vaccine
Item
Has the subject received a dose of monovalent or combined Hepatitis A vaccine outside the study ?
boolean
C0170300 (UMLS CUI [1])
Item
Has the subject received a dose of monovalent or combined Hepatitis A vaccine outside the study ? If Yes, please specify
integer
C0170300 (UMLS CUI [1,1])
C3543421 (UMLS CUI [1,2])
Hepatitis vaccine
Code List
Has the subject received a dose of monovalent or combined Hepatitis A vaccine outside the study ? If Yes, please specify
CL Item
Hepatitis A vaccine (1)
CL Item
Combined Hepatitis A (or other) vaccine (2)
Hepatitis A
Item
Did the subject suffer from Hepatitis A since last visit?
boolean
C0019159 (UMLS CUI [1])
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